institution
Community Care Of West Virginia, Inc.
Federally Qualified Health Center (FQHC) in Clarksburg, West Virginia
NPI 1619316999

Community Care Of West Virginia, Inc. is a Federally Qualified Health Center (FQHC) based in Rock Cave, WV and is specialized in Federally Qualified Health Center (FQHC). Community Care Of West Virginia, Inc. practices in Clarksburg, WV. The NPI Number for Community Care Of West Virginia, Inc. is 1619316999 and holds a License No. 2287-8809 (West Virginia).

The current practice location address for Community Care Of West Virginia, Inc. is 443 Lee Ave, Clarksburg, WV and can be reached out via phone at 304-326-7420 and via fax at 304-624-3388. You can also correspond with Community Care Of West Virginia, Inc. through the mailing address at PO BOX 217, ROCK CAVE, WV - 26234-0217 (mailing address contact number: 304-924-6262).

Location: 443 Lee Ave, Clarksburg, WV, 26234-0217
institution
Provider Profile Details
NPI Number
1619316999
Provider Name
Community Care Of West Virginia, Inc.
Credential
Provider Entity Type
Organization
Address
443 Lee Ave, Clarksburg, WV, 26234-0217
Phone Number
304-326-7420
Fax Number
304-624-3388
Provider Enumeration Date
06/19/2013
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2287-8809 01 WV BUSINESS LICENSE
institution
Provider Business Practice Location Address Details
Address
443 Lee Ave
City
State
Zip
26301-3648
Phone Number
304-326-7420
Fax Number
304-624-3388
person
Provider Business Mailing Address Details
Address
Po Box 217
City
State
Zip
26234-0217
Phone Number
304-924-6262
Fax Number
304-924-5460
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
2287-8809 (West Virginia)
Definition
Definition to come...
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